Chameleon™ PTA balloon catheter: A single device in managing thrombosed AV access

2021 ◽  
pp. 112972982110274
Author(s):  
Ari Kramer ◽  
John Ross ◽  
Antonios P Gasparis
Keyword(s):  
Case Report ◽  
Surgical Procedures ◽  
Balloon Angioplasty ◽  
Balloon Catheter ◽  
Percutaneous Intervention ◽  
Common Procedure ◽  
Novel Technique ◽  
Percutaneous Interventions

Thrombectomy is a common procedure for maintenance of arteriovenous (AV) access and is critical to prolong access life. Techniques for performing thrombectomy are incredibly diverse, ranging from open surgical procedures to percutaneous interventions. Percutaneous interventions include a combination of thrombectomy devices to clear the thrombus and balloon angioplasty to treat the underlying lesion. In this case report we describe a novel technique using a single device, the Chameleon™ PTA balloon catheter (Medtronic, Minneapolis, MN) balloon catheter, to safely and efficiently perform a percutaneous intervention.

scholarly journals Transcirculation microballoon-assisted coil embolization for dorsal pancreatic artery aneurysm due to celiac artery dissection: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2098734
Author(s):  
Yuki Takara ◽  
Daisuke Yunaiyama ◽  
Toru Saguchi ◽  
Natsuhiko Shirota ◽  
Takafumi Yamada ◽  
...  
Keyword(s):  
Case Report ◽  
Coil Embolization ◽  
Balloon Catheter ◽  
Artery Aneurysm ◽  
Celiac Artery ◽  
Endovascular Surgery ◽  
Artery Dissection ◽  
Dorsal Pancreatic Artery ◽  
Pancreatic Artery

The dorsal pancreatic artery is a part of peripancreatic arcade connecting celiac artery to transpancreatic artery. A dorsal pancreatic artery aneurysm derived from dissection of celiac artery is a rare pathology, and it sometimes requires ingenious strategy in an endovascular surgery. Hereby, we report a case of a patient who underwent coil embolization for dorsal pancreatic artery aneurysm due to celiac artery dissection by applying transcirculation approach of a balloon catheter through the peripancreatic arcade, which was successfully achieved.

scholarly journals Preoperative Diagnosis and Treatment of Middle Ear Adenoma: A Case Report and Literature Review

2021 ◽  
pp. 014556132110002
Author(s):  
Aleksander Zwierz ◽  
Krystyna Masna ◽  
Paweł Burduk
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Middle Ear ◽  
Surgical Procedures ◽  
Preoperative Diagnosis ◽  
Proper Treatment ◽  
Second Stage ◽  
Middle Ear Adenoma ◽  
Histopathological Results

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

Iliac Pseudoaneurysm, Only a Manifestation With More Causes: A Case Report

2021 ◽  
pp. 152660282110250
Author(s):  
Barbara Infante ◽  
Adelaide Di Lorenzo ◽  
Dario Troise ◽  
Angela M. R. Ferrante ◽  
Maurizio Ruggieri ◽  
...  
Keyword(s):  
Risk Factor ◽  
Case Report ◽  
Kidney Disease ◽  
Surgical Procedures ◽  
Arterial Wall ◽  
Autosomal Dominant ◽  
Vascular Complication ◽  
Polycystic Kidney ◽  
Vessel Lumen ◽  
Autosomal Dominant Polycystic Kidney

Pseudoaneurysm is due to a disruption in arterial wall continuity. It forms a sac that communicates with the vessel lumen and is surrounded by the compressed, surrounding tissues and not by the wall of the artery from which the lesion arises. Many causes can predispose to the formation of a pseudoaneurysm such as trauma, surgical procedures, anticoagulation. In our patient another important risk factor for the formation of a pseudoaneurysm is ADPKD (autosomal dominant polycystic kidney disease) that can cause vascular complication. The mechanisms leading to the genesis of the pseudoaneurysms in our patient are unknown, but the clinicians should bear in mind when evaluating this type of patients that ADPKD may have a various range of systemic cardiovascular manifestation.

An Unusual Femoral Sheath Severing with Successful Recapture: A Case Report

Reports ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 34
Author(s):  
Frane Runjić ◽  
Andrija Matetic ◽  
Matjaž Bunc ◽  
Nikola Crnčević ◽  
Ivica Kristić
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Balloon Catheter ◽  
Proximal Part ◽  
Ascending Aorta ◽  
Introducer Sheath ◽  
Transcatheter Aortic Valve ◽  
Coronary Cusp

This study presents a case of a successful severed femoral sheath recapture during transfemoral transcatheter aortic valve replacement (TAVR). During skin tunneling with a scalpel, the discontinuity of the femoral sheath occurred. Grasping of the distal sheath with the surgical hemostat was attempted unsuccessfully. A proximal part of the severed sheath was removed and Medtronic Sentrant introducer sheath (14 French) was then placed over the existing Confida wire which permanently remained in position, followed by the introduction of the Amplatz Left 2 (AL2) catheter which pushed the severed sheath in the ascending aorta over the Confida wire. The crucial maneuver was the entanglement of the severed sheath in the aortic non-coronary cusp which allowed for its entrapment by the AL2 catheter. This allowed for the coronary guidewire BMW Universal (0.014”) placement and a slow balloon retrieval (SeQuent NEO 2.5 x 25 mm) of the severed sheath into the introducer sheath. The guidewire/balloon catheter was then exchanged for the support wire (0.035”) followed by the removal of the introducer sheath, AL2 catheter and the severed sheath. In conclusion, sheath severing is a complex accidental event during TAVR, which can be solved by intra-aortic recapture and retraction.

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